Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. BRODY THOMAS FANSHAW, MS, LPC
Active Sole ProprietorMR. BRODY THOMAS FANSHAW, MS, LPC is a Mental Health Counselor healthcare provider located in SUN PRAIRIE, Wisconsin. NPI 1689390981 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · SUN PRAIRIE, WI
Registration Details
- NPI Number
- 1689390981
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 18, 2022 (3.7937051654937 yrs)
- Last Updated
- Aug 14, 2024
- License
-
7151-226 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
121 S BRISTOL ST STE 102SUN PRAIRIE, WI, 535902995Browse WI providers · Browse ZIP 53590
- Phone
- 6082852911
- Primary Specialty
-
Mental Health Counselor
101YM0800X
Other Mental Health Counselor Providers in SUN PRAIRIE, WI
| Name | Credential | NPI |
|---|---|---|
| THERESA M TOMSYCK | PC-T | 1346684560 |
| STACEY LYNN DULIN | LPC | 1609214386 |
| CARRIEANN ZONDAG | MSW, CAPSW | 1275962821 |
| ANN LOUISE ROQUET | LCSW | 1821599911 |
| MRS. VICTORIA ANN CLAAS | MS, LPC-IT | 1295211837 |
| NICOLE BROWN | LPC | 1659845337 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.